| Doctor Name: | CHARLES BROWN |
| NPI Number: | 1649647678 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PA-C |
| License Number: | |
| Business Practice Address: | 210 Westchester Avenue Purchase, NY - 10577 |
| Business Phone Number: | 9146826540 |
| Business Fax Number: | |
| Mailing Address: | 315 92nd St, Apartment 1f BROOKLYN |
| State: | NY |
| Postal Code: | 112096377 |
| Phone Number: | 7573435649 |
| Fax Number: | |
| NPI Enumeration Date: | 08/25/2015 |
| NPI Last Update Date: | 08/25/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AS0400X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Surgical |
| Taxonomy Definition: | |